摘要
目的:探讨中西医结合管理在高血压患者中的应用效果。方法:选取2022年1月—2023年3月滨州市人民医院收治的120例原发性高血压患者作为研究对象,随机分为常规组和结合组,各60例。常规组给予常规高血压管理,结合组在常规组基础上采用中西医结合管理。对比两组干预效果。结果:干预前,两组收缩压、舒张压对比,无统计学差异(P>0.05);干预4周、8周、12周后,两组收缩压和舒张压均低于干预前,且结合组低于常规组(P<0.05)。干预前,两组主证、次证评分以及总分对比,无统计学差异(P>0.05)。干预4周、8周、12周后,常规组主证、次证评分以及总分无明显变化(P>0.05);结合组主证、次证评分以及总分下降,且结合组低于常规组(P<0.05)。结合组不良心血管事件总发生率为1.67%,低于常规组(P<0.05)。结论:中西医结合管理在高血压患者中的应用效果较好,可降低患者血压水平,改善患者中医证候,降低心血管事件发生风险。
Objective:To explore the application effect of integrated traditional Chinese and western medicine management in patients with hypertension.Methods:A total of 120 patients with primary hypertension who were admitted to Binzhou People's Hospital from January 2022 to March 2023 were selected as the study subjects.They were randomly divided into a routine group and a combination group,with 60 patients in each group.The routine group received routine hypertension management,while the combination group received integrated traditional Chinese and western medicine management on the basis of routine group.The intervention effects of two groups were compared.Results:Before intervention,there was no significant difference in systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).After 4 weeks,8 weeks,and 12 weeks of intervention,the systolic blood pressure and diastolic blood pressure in two groups were lower than those before intervention,and these indicators in the combination group were lower than those in the routine group(P<0.05).Before intervention,there was no significant difference in the scores of principal syndrome and secondary syndrome and the total scores between the two groups(P>0.05).After 4 weeks,8 weeks,and 12 weeks of intervention,there were no significant changes in the scores of principal syndrome and secondary syndrome and the total scores in the routine group(P>0.05);the scores of principal syndrome and secondary syndrome and the total scores in the combination group decreased,and the scores in the combination group were lower than those in the routine group(P<0.05).The total incidence of adverse cardiovascular events in the combination group was 1.67%,which was lower than that in the routine group(P<0.05).Conclusion:The application of integrated traditional Chinese and western medicine management has better effects in patients with hypertension,and can decrease the patient's blood pressure levels,improve the patient's TCM syndrome,and reduce the risk of cardiovascular events.
作者
范祥云
张强
郭庆杰
Fan Xiangyun;Zhang Qiang;Guo Qingjie(Department of General Practice,Binzhou People's Hospital,Binzhou 256600,Shandong Province,China;Department of Neurosurgery,Binzhou People's Hospital,Binzhou 256600,Shandong Province,China;Department of Rehabilitation Medicine,Binzhou People's Hospital,Binzhou 256600,Shandong Province,China)
出处
《中国社区医师》
2024年第30期164-166,共3页
Chinese Community Doctors
关键词
高血压
中西医结合
家庭医生
Hypertension
Integrated traditional Chinese and western medicine
Family doctor
